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Preview: MONAHRQ 2.0 (Text Version)

Slide presentation from the AHRQ 2010 conference.

On September 27, 2010, Carol Sniegoski made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (2.5 MB). 


Slide 1

Preview: MONAHRQ 2.0

Preview: MONAHRQ 2.0

ETA: December 2010

Carol Sniegoski
AHRQ Annual Conference
September 27, 2010

Slide 2

Future MONAHRQs (Estimated)

Future MONAHRQs (Estimated)

June 2010: MONAHRQ 1.0

  • 47 AHRQ QIs
  • Hospital rates and costs
  • Area rates and costs

October 2010: MONAHRQ 1.1

  • FY10 coding updates
  • Additional AHRQ QIs

December 2010: MONAHRQ 2.0

  • More AHRQ QIs
  • More measures
  • Updated user interface

April 2011: MONAHRQ 2.1

  • FY11 coding updates
  • Even more AHRQ QIs

September 2011: MONAHRQ 3.0

  • TBD

Slide 3

MONAHRQ 1.0

MONAHRQ 1.0

Hospital Quality Path

  • Many AHRQ Inpatient QIs (provider level)
  • Many AHRQ Patient Safety QIs (provider level)

Hospital Utilization Path

  • Procedure and condition rates and costs by area

Area Preventable Hospitalizations Path

  • AHRQ Inpatient QIs (area level)
  • AHRQ Patient Safety QIs (area level)
  • AHRQ Prevention QIs

Area Rates Path

  • Procedure and condition rates and costs by hospital

Slide 4

MONAHRQ 2.0

MONAHRQ 2.0

Hospital Quality Path

  • All AHRQ Inpatient QIs (provider level)
  • All AHRQ Patient Safety QIs (provider level)
  • Hospital Compare inpatient measures

Hospital Utilization Path

  • Procedure and condition rates and costs by hospital

Area Preventable Hospitalizations Path

  • AHRQ Inpatient QIs (area level)
  • AHRQ Patient Safety QIs (area level)
  • AHRQ Prevention QIs

Area Rates Path

  • Procedure and condition rates and costs by area

Slide 5

Quick Guide: AHRQ Quality Indicators in MONAHRQ

Quick Guide: AHRQ Quality Indicators in MONAHRQ

  1.0
(2010)
2.0
(2010)
3.0
(2011)
AHRQ Inpatient QIs S X X
AHRQ Patient Safety QIs S X X
AHRQ Neonatal QIs N S X
AHRQ Pediatric QIs N N X
AHRQ Prevention QIs X X X

X—Included
S—Some Included
N—Not Included

Slide 6

Quick Guide: Hospital Compare Measures in MONAHRQ

Quick Guide: Hospital Compare Measures in MONAHRQ

  1.0
(2010)
2.0
(2010)
CMS Process Measures, Inpatient
Surgical care improvement N X
Heart attack N X
Heart failure N X
Pneumonia N X
Children's asthma care N X
CMS Outcome Measures 30-Day Mortality and Readmissions)
Heart attack N X
Heart failure N X
Pneumonia N X
CMS Structural Measures N X
HCAHPS Measures N X
CMS Outpatient Imaging Efficiency Measures N N
CMS Process Measures, Outpatient N N
CMS Hospital Acquired Conditions (Sep 2010) N N
Medicare Payment and Volume Information N N

X—Included
S—Some Included
N—Not Included

Slide 7

Hospital Compare Measure Results and MONAHRQ

Hospital Compare Measure Results and MONAHRQ

MOHAHRQ 1.0 model: Calculate your own measure results

Step 1: You download MONAHRQ
Step 2: You load your data
Step 3: You calculate measure results
Step 4: You generate a Website

Slide 8

Hospital Compare Measure Results and MONAHRQ

Hospital Compare Measure Results and MONAHRQ

MOHAHRQ 2.0 model:
Calculate your own measure results and/or Load precalculated measure results

Step 1
You download MONAHRQ
You download CMS measure results

Step 2
You load your data
You link hospitals
You load CMS measure results

Step 3
You calculate measure results

Step 4
You generate a Website

Slide 9

Handling Hospital Compare Measure Results

Handling Hospital Compare Measure Results

  • We download the publicly available Hospital Compare measure results file from CMS.
  • We clean, format, and test the file to make sure it works with MONAHRQ.
  • We post the cleaned file to the MONAHRQ site.
  • You go to the MONAHRQ site and download the cleaned CMS measure results file.
  • You load the CMS measure results file and/or your own administrative data into MONAHRQ and generate a Web site.

Slide 10

Update Cycles

Update Cycles

  Annual refresh dates
  Mar Jun Sep Dec
CMS inpatient process measure results* X X X X
CMS inpatient outcome measure results* N X N N
HCAHPS results* X X X X
MONAHRQ software updates
  • FY coding updates
  • Updates to internal supplemental files
N X N N

X—Included
S—Some Included
N—Not Included

* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable database

Slide 11

New Look and Feel: Home Page

New Look and Feel: Home Page

A screen shot of the revamped Health Care Information Portal is shown.

A new feature: New hospital quality path is highlighted.

Slide 12

New Search Page

New Search Page

A screen shot of the Health Care Information Portal is shown.

New features include: Select health topic, Tab between consumer and professional paths, and Select hospitals.
 

Slide 13

New Hospital Search

New Hospital Search

A screen shot of the Health Care Information Portal is shown.

New features include: Select radius in miles, Enter ZIP code, Search by ZIP code or by region, and Find hospitals.
 

Slide 14

New Hospital Search

New Hospital Search

A screen shot of the Health Care Information Portal Select Hospitals for Comparison page is shown.

New features include: Hospital list appears and Select one or more hospitals.
 

Slide 15

New Health Topic Search

New Health Topic Search

A screen shot of the Health Care Information Portal is shown.

New features include: Select health topic and Topic description appears.
 

Slide 16

New Search Page

New Search Page

A screen shot of the Health Care Information Portal is shown.

New features include: Submit to go to classification table page.
 

Slide 17

New Classification Table

New Classification Table

A screen shot of the Health Care Information Portal is shown.

New features include: Consumer path: red / yellow / green icons; Professional path: numbers with confidence intervals; and Two-way scrolling.
 

Slide 18

New Classification Table

New Classification Table

A screen shot of the Health Care Information Portal is shown.

New features include: Tab for outcome measures, Tab for process measures, and Tab between subgroups.
 

Slide 19

New Classification Table

New Classification Table

A screen shot of the Health Care Information Portal is shown.

New features include:

  • Sortable column for each indicator.
  • New classification icons:
    • Above average
    • Average
    • Below average
    • Top 10%
    • Above median
    • Below median
  • Switch between benchmarks: input file and national.

Slide 20

New Classification Table

New Classification Table

A screen shot of the Health Care Information Portal is shown.

New features include: Professional path: drill down to either bar charts or detailed statistics; and Consumer path: drill down to bar charts view.

Slide 21

MONAHRQ Learning Network

MONAHRQ Learning Network

Goals

  • Facilitate MONAHRQ adoption
  • Gather feedback

Timeframe

  • Through June 2011

Participants

  • MONAHRQ adopters and serious potential adopters

Progress

  • Recruitment complete: 32 committed participants
  • Kickoff meeting after NAHDO conference, October 14

Slide 22

MONAHRQ Learning Network

MONAHRQ Learning Network

Type of Organization Number of Participants
HCUP Partner 16
Other 6
Other State Organization 3
Other University 2
Individual Hospital 1
CVE 8

Slide 23

MONAHRQ Learning Network Participant Locations

MONAHRQ Learning Network Participant Locations

Image of a map showing the states that are network participants. They include:

  • WA
  • OR
  • CA
  • NV
  • UT
  • NM
  • TX
  • OK
  • AR
  • MS
  • TN
  • KY
  • MI
  • WV
  • VA
  • MD
  • NJ
  • CT
  • NY
  • VT
  • NH
  • ME

Slide 24

MONAHRQ Website

MONAHRQ Website
www.monahrq.ahrq.gov

A screen shot of the home page of www.monahrq.ahrq.gov is shown.

Slide 25

MONAHRQ Website

MONAHRQ Website
www.monahrq.ahrq.gov

A screen shot of the frequently asked questions page of www.monahrq.ahrq.gov is shown.

Slide 26

Websites Generated Using MONAHRQ

Websites Generated Using MONAHRQ

A screen shot of the Websites Generated Using MONARQ page of www.monahrq.ahrq.gov is shown.

Slide 27

Websites Generated Using MONAHRQ

Websites Generated Using MONAHRQ

A screen shot of the Hawaii Health Information Corporation web page is shown.

Slide 28

Websites Generated Using MONAHRQ

Websites Generated Using MONAHRQ

A screen shot of the Nevada Compare Care web page is shown.

Slide 29

Questions

Questions?
monahrq.ahrq.gov

A screen shot of the Nevada Compare Care and Hawaii Health Information Corporation web pages are shown.

Slide 30

Questions

Questions?

Slide 31

Websites Generated Using MONAHRQ

Websites Generated Using MONAHRQ

A screen shot of the Nevada Compare Care and Hawaii Health Information Corporation web pages are shown.

Slide 32

Data Refresh Cycles

Data Refresh Cycles

  Refresh rate Data period Data lag
CMS process measures* Quarterly
(Sep, Dec, Mar, Jun)
12 months 9 months
CMS mortality and readmissions measures* Annually
(Jun)
36 months 12 months
HCAHPS patient experience measures* Quarterly
(Sep, Dec, Mar, Jun)
12 months 9 months
Census data for population denominators in area rates and area-level AHRQ QIs Annually
(?)
12 months ? months

* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable database.

Slide 33

MONAHRQ Learning Network

MONAHRQ Learning Network

Type of
Organization
Number of
Participants
HCUP Partner 16
Other 6
Other State Organization 3
Other University 2
Individual Hospital 1
CVE 8

Slide 34

MONAHRQ Learning Network

MONAHRQ Learning Network

Type of
Organization
Number of
Participants
HCUP Partner 16
Other 6
Other State Organization 3
Other University 2
Individual Hospital 1
CVE 8

Slide 35

MONAHRQ Learning Network

MONAHRQ Learning Network

Type of
Organization
Number of
Participants
HCUP Partner 16
Other 6
Other State Organization 3
Other University 2
Individual Hospital 1
CVE 8

Slide 36

Quick Guide: AHRQ Quality Indicators in MONAHRQ

Quick Guide: AHRQ Quality Indicators in MONAHRQ

  1.0
(Jun 2010)
1.1
(Oct/Nov
2010)
2.0
(Dec
2010)
2.1
April/May 2011
AHRQ Inpatient QIs*        
IQI2 N X X X
IQI5 N X X X
IQI9 N X X X
IQI12 N X X X
IQI13 N X X X
IQI18 N X X X
IQI19 N X X X
IQI20 N X X X
IQI21 N N X X
IQI33 N N X X
IQI34 N N X X
AHRQ Patient Safety QIs*        
PSI 3 N X X X
PSI 5 N N X X
PSI 7 N X X X
PSI 9 N X X X
PSI 16 N N X X
AHRQ Neonatal QIs - All N N S X
AHRQ Pediatric QIs - All N N N X
AHRQ Prevention QIs - All X X X X

X—Included
S—Some Included
N—Not Included

* Any individual AHRQ QIs not listed are already included in MONARQ 1.0

Slide 37

Quick Guide: Hospital Compare Measures in MONAHRQ

Quick Guide: Hospital Compare Measures in MONAHRQ

  1.x
 
2.0
(Dec 2010)
3.0
(Sep 2011)
CMS Process Measures, Inpatient
Surgical care improvement N X X
Heart attack N X X
Heart failure N X X
Pneumonia N X X
Children's asthma care N X X
CMS Outcome Measures 30-Day Mortality and Readmissions)
Heart attack N X X
Heart failure N X X
Pneumonia N X X
CMS Structural Measures
Cardiac Surgery Registry Participation N X X
HCAHPS Measures N X X
CMS Outpatient Imaging Efficiency Measures N N N
CMS Process Measures, Outpatient (Jun 2010) N N N
CMS Hospital Acquired Conditions (Sep 2010) N N N

X—Included
S—Some Included
N—Not Included

Slide 38

Data Update Cycles

Data Update Cycles

  Annual refresh dates Data period Data lag
  Mar Jun Sep Dec
CMS inpatient process measure results* X X X X 12 months 9 months
CMS inpatient outcome measure results* N X N N 36 months 12 months
HCAHPS results* X X X X 12 months 9 months
MONAHRQ software updates
  • FY coding updates
  • Census data:
    • Area rates
    • Area-level AHRQ QIs
  • Risk Adjustment Data:
    • Provider-level AHRQ QIs
  • FIPS data:
    • Areas and maps
N X N N 12 months, including yearly historical data since 1996 ? months

X—Included
S—Some Included
N—Not Included

* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable database

Slide 39

Update Cycles

Update Cycles

  Annual refresh dates Data period Data lag
  Mar Jun Sep Dec
CMS inpatient process measure results* X X X X 12 months 9 months
CMS inpatient outcome measure results* N X N N 36 months 12 months
HCAHPS results* X X X X 12 months 9 months
MONAHRQ software updates
  • FY coding updates
  • Updates to internal supplemental files
N X N N 12 months, including yearly historical data since 1996 ? months

X—Included
S—Some Included
N—Not Included

* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable database

Current as of December 2010
Internet Citation: Preview: MONAHRQ 2.0 (Text Version). December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/news/events/conference/2010/sniegoski/index.html

 

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